Medical-Surgical Nursing Certification
Exam with Actual Study Questions
with Verified Answers | Guarantee
Pass!
1. A patient with mitral valve disease is admitted to a medical unit with fever,
chills, SOB, malaise and a newly developed cardiac murmur. Based on the
patient's new diagnosis of endocarditis, the nurse will begin preparing him
for discharge by teaching about:
a. lifestyle modifications.
b. warfarin (Coumadin) therapy.
c. self-administration of IV antibiotics.
d. the need for fluid restrictions. - ANSWER c. self-administration of
IV antibiotics.
2. A patient with hypercholesterolemia was prescribed pravastatin (Prevachol).
The nurse should teach the patent about which of the following side effects
for this medication?
a. Muscle weakness
b. Flushing
c. Itching
d. Hypotension - ANSWER a. Muscle weakness
3. A 65 year old male is diagnosed with right-sided heart failure and admitted
to the medical-surgical unit. Based on this diagnosis, the nurse will expect
assessment to include which of the following findings:
a. Dyspnea on exertion and bibasilar crackles
b. Dependent edema and hepatic engorgement
c. Distended veins and systolic murmur
, d. Cool extremities and weak peripheral pulses - ANSWER b.
Dependent edema and hepatic engorgement
4. The priority nursing intervention for a patient with suspected MI is :
a. auscultating for adventitious breath sounds.
b. monitoring fluid and electrolyte status.
c. preventing thrombi and emboli.
d. providing appropriate analgesia. - ANSWER d. providing appropriate
analgesia.
5. A patient scheduled for heart catheterization learns the right radial artery
will be accessed rather than the femoral artery. The patient asks the nurse,
"Could you tell me about the two access options?" The nurse's response is
based on knowledge that:
a. femoral catheterization has less risk of internal bleeding.
b. external bleeding can be easily controlled with radial catheterization.
c. the patient is able to sit up immediately following femoral
catheterization.
d. the patient can resume normal activity immediately after radial
catheterization. - ANSWER b. external bleeding can be easily
controlled with radial catheterization.
6. A male patient tells the nurse he has stopped taking his beta blocker because
it interfered with his social life. Which comment by the nurse is most
appropriate in response to the patient's statement:
a. "Often these drugs can cause fatigue, but a dosage adjustment can
correct this side effect."
b. "What exactly do you mean by social life?"
c. "Many men stop taking their blood pressure medications due to
changes in sexual functioning . Have you had this problem?"
d. "Never stop taking blood pressure medication suddenly because this
can be dangerous." - ANSWER c. "Many men stop taking their blood
pressure medications due to changes in sexual functioning . Have you
had this problem?"
, 7. Which noninvasive diagnostic procedure would the nurse anticipate the
physician will order to assess possible blockage in a patient's coronary
arteries?
a. Mitigated angiographic scan (MUGA)
b. Echocardiography
c. Chest radiography
d. Computed tomography angiogram (CTA) - ANSWER d. Computed
tomography angiogram (CTA)
8. The nurse is caring for a patient with a history of three previous MIs and
three coronary artery bypass grafts. An echocardiogram reveals an ejection
fraction of 15%. The nurse prepares to teach the patient about which
medication that will be ordered during the acute phase of heart failure?
a. Dobutamine (Dobutex)
b. Amlodipine (Norvasc)
c. Atenolol (Tenormin)
d. Captopril (Capoten) - ANSWER a. Dobutamine (Dobutex)
9. The nurse is caring for multiple patients with a diagnosis of coronary artery
disease. The identifies which of the following as at the greatest risk for early
onset of the disease?
a. Hispanic male
b. Asian female
c. African-American female
d. Caucasian male - ANSWER c. African-American female
A patient with rheumatic fever has been told the infection could reoccur. The
nurse teaches the patient to seek medical attention for which of the following
symptoms that suggest reinfection?
a. Shortness of breath at rest
b. Unexplained weight loss
Exam with Actual Study Questions
with Verified Answers | Guarantee
Pass!
1. A patient with mitral valve disease is admitted to a medical unit with fever,
chills, SOB, malaise and a newly developed cardiac murmur. Based on the
patient's new diagnosis of endocarditis, the nurse will begin preparing him
for discharge by teaching about:
a. lifestyle modifications.
b. warfarin (Coumadin) therapy.
c. self-administration of IV antibiotics.
d. the need for fluid restrictions. - ANSWER c. self-administration of
IV antibiotics.
2. A patient with hypercholesterolemia was prescribed pravastatin (Prevachol).
The nurse should teach the patent about which of the following side effects
for this medication?
a. Muscle weakness
b. Flushing
c. Itching
d. Hypotension - ANSWER a. Muscle weakness
3. A 65 year old male is diagnosed with right-sided heart failure and admitted
to the medical-surgical unit. Based on this diagnosis, the nurse will expect
assessment to include which of the following findings:
a. Dyspnea on exertion and bibasilar crackles
b. Dependent edema and hepatic engorgement
c. Distended veins and systolic murmur
, d. Cool extremities and weak peripheral pulses - ANSWER b.
Dependent edema and hepatic engorgement
4. The priority nursing intervention for a patient with suspected MI is :
a. auscultating for adventitious breath sounds.
b. monitoring fluid and electrolyte status.
c. preventing thrombi and emboli.
d. providing appropriate analgesia. - ANSWER d. providing appropriate
analgesia.
5. A patient scheduled for heart catheterization learns the right radial artery
will be accessed rather than the femoral artery. The patient asks the nurse,
"Could you tell me about the two access options?" The nurse's response is
based on knowledge that:
a. femoral catheterization has less risk of internal bleeding.
b. external bleeding can be easily controlled with radial catheterization.
c. the patient is able to sit up immediately following femoral
catheterization.
d. the patient can resume normal activity immediately after radial
catheterization. - ANSWER b. external bleeding can be easily
controlled with radial catheterization.
6. A male patient tells the nurse he has stopped taking his beta blocker because
it interfered with his social life. Which comment by the nurse is most
appropriate in response to the patient's statement:
a. "Often these drugs can cause fatigue, but a dosage adjustment can
correct this side effect."
b. "What exactly do you mean by social life?"
c. "Many men stop taking their blood pressure medications due to
changes in sexual functioning . Have you had this problem?"
d. "Never stop taking blood pressure medication suddenly because this
can be dangerous." - ANSWER c. "Many men stop taking their blood
pressure medications due to changes in sexual functioning . Have you
had this problem?"
, 7. Which noninvasive diagnostic procedure would the nurse anticipate the
physician will order to assess possible blockage in a patient's coronary
arteries?
a. Mitigated angiographic scan (MUGA)
b. Echocardiography
c. Chest radiography
d. Computed tomography angiogram (CTA) - ANSWER d. Computed
tomography angiogram (CTA)
8. The nurse is caring for a patient with a history of three previous MIs and
three coronary artery bypass grafts. An echocardiogram reveals an ejection
fraction of 15%. The nurse prepares to teach the patient about which
medication that will be ordered during the acute phase of heart failure?
a. Dobutamine (Dobutex)
b. Amlodipine (Norvasc)
c. Atenolol (Tenormin)
d. Captopril (Capoten) - ANSWER a. Dobutamine (Dobutex)
9. The nurse is caring for multiple patients with a diagnosis of coronary artery
disease. The identifies which of the following as at the greatest risk for early
onset of the disease?
a. Hispanic male
b. Asian female
c. African-American female
d. Caucasian male - ANSWER c. African-American female
A patient with rheumatic fever has been told the infection could reoccur. The
nurse teaches the patient to seek medical attention for which of the following
symptoms that suggest reinfection?
a. Shortness of breath at rest
b. Unexplained weight loss
